Wednesday, May 20, 2009

Wednesday May 20, 2009
Pulmonary Embolism Severity Index (PESI)

Study by Aujesky helps us to predict the 30 day mortality risk in patients with PE. Below are the two tables which gives the risk severity, and second table helps to give the assigned points on the basis of risk factors.


Category = Points = Risk category
1 = less than or equal to 65 = Very Low
2 = 66-85 = Low
3 = 86-105 = Intermediate
4 = 106-125 = High
5 = more than 125 = Very High


Predictors and Assigned Points

Age/year = Age in years
Male Sex = +10
Hx Cancer = +30
Heart Failure = +10
Chronic lung disease = +10
Pulse more than 110/min = +20
SBP less than100 mm hg = +30
Resp Rate more than 30/min = +20
Temp less than 36ÂșC = +20
Altered mental status = +60
O2 Sat less than 90% = +20



References; click for reference

1. Aujesky D, Perrier A, Roy PM, Et al.
Validation of a clinical prognostic model to identify low risk patients with pulmonary embolism. J Intern Med 2007; 261(6): 597-604

Aujesky D, Obrosky D, Stone RA, et al.
Derivation and validation of a prognostic model for pulmonary embolism. Am J Respir Crit Care Med 2005; 172(6): 655-6

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